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`` r� CERTIFICATE OF LIABILITY INSURANCE DATE (MIMMolyyy) 06128/2018Y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Eddie QUIllare5 Jr. State Farm Agency 415 N. Broadway NSanta Ana, CA 92701 CONTACT NAME: Eddie Quillares _jHON1d_Nvy O �14_6n. 7150. aC. gPU: 71as9].71se E-MAIL ADDRESS oddle@eddlqq[nsur@nce.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: State Farm General Insurance Company 25151 INSURED DOWNTOWN INC INSURERS: State Farm Fire and Casualty Company 25143 INSURERC: 200 N MAIN ST FL 2 INSURER D: SANTA ANA CA 92701 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:75-04F0 RFVIAIr1M MIIMRCP- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE AO L J= SR Wye POLICY NUMBER MMIOIolYY1 VY MMIDOIYVYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR Y Y 92-CE-Q933.0 061o5/2018 06105l2019 EACHocTOR=NCURENCE$ 1,000,000 AGENT PREMISES Ea ddc.menden $ 300,000 MED. EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 11000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: 17 POLICY PRO- JECT 71 LOCI _ PRODUCTS-COMPIOPAGG$ _ 2,000,000 $ A rTOMOBIUE LIABILITY ANY AUTO _ AOSCHEDULED AUU TOSS AUTOS HIRED AUTOS NON -OWNED AUTOS ❑Y ❑' 75.0450-X94 0612812018 12128/2018 COMBI. adNED Df SINGLE LIMIT $ BODILY INJURY (Per parson) $ 250,000 BODILY INJURY (Per accitlent) PROPERTYDAMAGE Peraccidonl __500,000 "— S 100,000 Comp/Coll Ded $ 250 A X UMBRELLA LIAB '.x EXCESS LIAB OCGUR CLAIMS -MADE ❑Y ❑Y 92•CE-Q781-7 06/05/2018 06105/2019 EACH OCCURRENCE $ 1,000.000 AGGREGATE $ 2,090,900 1pED is RETENTION$ 10,060 $ B WORKERS AND EMPLO ERTLIABIurY ANY PROPRIETOFoPARTNEREXECUTIVE YIN OFFICE/MEMBER EXCLUDED? Y� (Mandatory in NH) If yss, describe under DESCRIPTION F OPERATIONS bald,�i NIA 92-LH-2053.2 06/0512018 06/05/2019 TORY UMns X oEiz 1,000,000 E.L. EACH ACCIDENT $ 1,000,000 EL DISEASE -EAEMPLOYEq $ 1.000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 A FIDELTY BOND 92-WV-6044-5 10103/2017 10103/2018 BOND- AMOUNT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Santa Ana its officers, agents, employees and volunteers are named as additional insured. Additional Insured endorsement issued for certificate holder with Wavier of Subrogation and non-contributory cz CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 ATTENTION RISK MANAGEMENT BRIZA MORALES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rinhfs ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012